RESUMO
The authors consider that the application of Levamisol in the treatment of patients decreases the amount of complications if the degree of shock was not great. In greater degree of shock Levamisole failed to exert a favorable effect.
Assuntos
Quimiotaxia de Leucócito/efeitos dos fármacos , Levamisol/uso terapêutico , Choque Traumático/imunologia , Adjuvantes Imunológicos , Terapia Combinada , Humanos , Contagem de Leucócitos/efeitos dos fármacos , Infecções Respiratórias/prevenção & controle , Choque Traumático/terapia , Fatores de Tempo , Infecção dos Ferimentos/prevenção & controle , Ferimentos e Lesões/complicaçõesAssuntos
Hemodinâmica , Choque Traumático/fisiopatologia , Ferimentos e Lesões/fisiopatologia , Doença Aguda , Adolescente , Adulto , Idoso , Feminino , Testes de Função Cardíaca , Humanos , Masculino , Pessoa de Meia-Idade , Choque Traumático/etiologia , Fatores de Tempo , Ferimentos e Lesões/complicaçõesAssuntos
Leucócitos/fisiologia , Choque Traumático/fisiopatologia , Ferimentos e Lesões/fisiopatologia , Quimiotaxia de Leucócito , Hemodinâmica , Humanos , Inflamação/fisiopatologia , Monócitos/fisiologia , Neutrófilos/fisiologia , Choque Traumático/complicações , Fatores de Tempo , Ferimentos e Lesões/complicaçõesAssuntos
Choque Traumático/imunologia , Ferimentos e Lesões/imunologia , Adjuvantes Imunológicos/uso terapêutico , Linfócitos B/imunologia , Humanos , Imunoterapia , Ativação Linfocitária , Neutrófilos/imunologia , Fagocitose , Choque Cirúrgico , Choque Traumático/terapia , Linfócitos T/imunologia , Linfócitos T Reguladores/imunologia , Ferimentos e Lesões/terapiaRESUMO
Inconsiderable hyponatremia and pronounced hypopotassemia were found to accompany the shock. In a mild course of the traumatic disease the concentration of natrium in blood plasma was restored within 3--6 days, potassium within 7--10 days after trauma, and in a grave course hypopotassemia retained for about 14 days. More continuous use of the infusion therapy including potassium and natrium was found to be expedient.
Assuntos
Hipopotassemia/etiologia , Hiponatremia/etiologia , Choque Traumático/sangue , Humanos , Potássio/sangue , Sódio/sangue , Fatores de TempoRESUMO
The article analyzes changes in the protein metabolism of the organism of patients with associated trauma followed by shock. It was found that during shock and postshock period (as long as 14 days after trauma) of the traumatic disease hypoproteinemia was developing with the degree proportional to the severity of shock. To normalize protein metabolism it is necessary, in addition to a wide use of transfusions of blood and protein hydrolysates, to use protein mixtures (food concentrates) for oral feeding of critical patients in the complex of simultaneous measures directed to valuable correction of systemic and organic hemodynamics during this period.
Assuntos
Proteínas Sanguíneas/metabolismo , Choque Traumático/sangue , Ferimentos e Lesões/sangue , Alanina Transaminase/sangue , Aspartato Aminotransferases/sangue , Hemodinâmica , Humanos , Fatores de TempoRESUMO
The clinical course of an early (up to 14 days) postshock period of traumatic disease in 112 patients, treated for a combined trauma complicated with shock, has been studied. It has been established that within first 2 days after shock more than half of the patients develop increased coagulative activity of the blood, which rises still more in the following period. Progressive anemia, connected apparently with hemopoietic depression, is characteristic of the postshock period. In the second period (3--14 days after trauma) 60% of examined patients showed hypokalemia. A great percentage of inflammatory complications is likely to be due to the decrease of the defense--adaptative mechanisms, resulting from changes of the reactivity in the injured after shock.